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Massachusetts rates for HCPCS 46280

Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed

Facilitymedian $3,388 · 10th–90th $631–$5,7540%10%10th90th$3,388$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,630.78 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,981.07 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,801.89 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,370.32 / $8,317.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,981.07 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,548.13 / $9,120.11